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� CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> � FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ►z ce o �_�'t�`�►ca-1 �� ,p 2 <br /> PID: ' <br /> DESCRIPTION OF WORK (L�vw�(J e� <br /> ------------------------------------------------------------------------------------------------------------------------- <br /> ZONING REVIEW BY: � DATE APPROVED: �-(-L i - o y <br /> B UILDING REVIEW BY: DATE APPROVED: z.-z�� -- 6Y <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ,/ No <br /> PLANREVIEW Yes ,/ No SEWER CONNECTION <br /> STATE SURCHARGE Yes �/ No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: ���� <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: � <br /> Front (Lake): Right Sid�{: <br /> � <br /> Rear (Street): Left Side: A <br /> Adjacent Structures: Wetland: <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Cot�ncil Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolz�tion Date: <br /> Shoreland District: <br /> Avg.Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' . <br /> 500-1000' <br /> Hardcover Variance Required.• Yes No Date of Council Approval: <br /> REMARKS(in house): <br /> 32 <br />